Individual provider Active NPI

Kelli Linick, MD

  • Family Medicine Physician
  • Bedford, VA
National Provider Identifier
1851364756
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101-052921 Issued in VA
Practice address
548 Blue Ridge Ave
Bedford, VA 24523-2604
Phone
(540) 586-4723
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101-052921 VA Primary

Addresses

Primary practice location

548 Blue Ridge Ave
Bedford, VA 24523-2604

Mailing address

548 Blue Ridge Ave
Bedford, VA 24523-2604

Other identifiers 3

IdentifierTypeStateIssuer
005627206MedicaidVA
5637988MedicaidVA
5627214MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211000105 VA Practitioner - Family Practice 6608772520 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

282 Westlake Rd
Hardy, VA 24101-3967
Phone (540) 721-2689

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Roanoke, VA, CCN 497275
  • Centerwell Home Health Home health agency, Roanoke, VA, CCN 497429
  • Carilion Home Care Services - Roanoke Home health agency, Roanoke, VA, CCN 497258
  • Centerwell Home Health (Lynchburg) Home health agency, Lynchburg, VA, CCN 497597
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101-052921VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Aug 8, 1997 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 16, 2018 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 16, 2018 Accepting new patients
Carilion Medical Center CurrentSince Sep 1, 2011 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jan 16, 2018 Accepting new patients
Carilion Giles Community Hospital Current Accepting new patients
Carilion Medical Center CurrentSince Sep 1, 2011 Accepting new patients
Carilion Healthcare Corporation CurrentSince Aug 8, 1997 Accepting new patients

Locations

548 Blue Ridge Ave
Bedford, VA 24523
Phone (540) 345-0486

282 Westlake Rd
Hardy, VA 24101
Phone (540) 721-2689

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

430 Boxwood Ln
Pearisburg, VA 24134
Phone (540) 921-3636

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

2145 Mount Pleasant Blvd SE
Roanoke, VA 24014
Phone (540) 427-3020

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

390 S Main St
Ste 201
Rocky Mount, VA 24151
Phone (540) 484-4800

37 Laymantown Rd
Troutville, VA 24175
Phone (540) 977-1436

415 S Pollard St
Vinton, VA 24179
Phone (540) 938-6700

Interoperability endpoints

  • Direct secure messaging: klinick13784@direct.carilionclinic.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1851364756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 BLUE RIDGE AVE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 BLUE RIDGE AVE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232604",
            "telephone_number": "540-586-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINICK",
        "first_name": "KELLI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101-052921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005627206",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5637988",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5627214",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

Verify at the official NPI Registry.